BSR issues guidance on Steroid Emergency Cards and Sick Day Rules

Sometimes, the underlying causes of Addison’s disease can be treated. For example, tuberculosis (TB) is treated with a course of antibiotics over a period of at least 6 months. Healthwatch County Durham helps you and your family get the best out of health and social care services in County Durham. They are the independent champion for people who use health and social care services.

If your child is on antibiotics for longer than 10 days, ask your doctor about how long to increase your child’s dose of steroids. Also give your child a double morning dose of hydrocortisone at 4am if they are very unwell. If they are being sick repeatedly or in large amounts, give them a hydrocortisone injection and bring your child to hospital in a paramedic ambulance.

The Emergency Injection for the treatment of Adrenal Crisis

We are also closed one Thursday afternoon each month for inter-practice training – please see separate notices in the surgery and on the website for specific dates. For information on how best to be seen at the Surgery, select the service or condition you require. Your thyroid gland may also be tested to see if it’s working properly.

Cortisol is a naturally occurring steroid hormone which regulates blood pressure, blood sugar and muscle strength. It is a hormone that is essential for health; severe deficiency can cause illness or even death. After a serious accident, such as a car crash, a healthy person produces more cortisol.

Treating Addison’s disease

In some cases, your specialist may refer you for a scan of your adrenal glands – this could be a computerised tomography (CT) scan or a magnetic resonance imaging (MRI) scan. If the ACTH level is high, but the cortisol and aldosterone levels are low, it’s usually confirmation of Addison’s disease. The immune system is your body’s defence against infection and disease.

Blood Pressure Monitoring

It can cause Addison’s disease if it damages your adrenal glands. Other potential causes include conditions that can damage the adrenal glands, such as tuberculosis (TB), although this is uncommon in the UK. Addison’s disease (also known as primary adrenal insufficiency or hypoadrenalism) is a rare disorder of the adrenal glands. Children on hydrocortisone replacement should treble their dose of steroids and also have an oral aciclovir (anti-viral medication).

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If adrenal insufficiency is confirmed then you will start treatment with replacement cortisol. This can be in the form of Hydrocortisone tablets, taken in divided doses 2 to 3 times daily or Prednisolone tablets taken once daily. Doses range from 15mg to 25mg daily for Hydrocortisone and 3mg to 5mg for Prednisolone. Some people may take doses that sit outside of these general levels.

Sick Note (Fit Note)

These sites provide you with local advice and information related to maintaining your health, well-being and services to support you. In general, the medicines used for Addison’s disease do not have side effects, unless your dose is too high. If you take a higher dose than necessary for a long time, there’s a risk of problems such as weakened bones (osteoporosis), mood swings and difficulty sleeping (insomnia).

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This could be necessary if you go into shock after an injury, or if you experience vomiting or diarrhoea and are unable to keep down oral medicine. Over time, as you get used to the condition and learn what can trigger your symptoms, you may learn how to adjust your medicine yourself. It’s also a good idea to wear a medical alert bracelet or necklace that informs people you have Addison’s disease. A medicine called hydrocortisone is usually used to replace the cortisol.